Individual Therapy in San Antonio + Online in Texas & Delaware
Therapy for anxiety, overthinking, relationships, and the patterns that keep repeating.
You may have a good sense of what you struggle with and still find yourself caught in the same doubts, reactions, or roles. Therapy can help you understand what keeps those patterns active and develop different ways of relating to yourself, your choices, and the people in your life.
Sometimes the problem isn’t a lack of insight.
Many of the people I work with are already thoughtful and self-aware. You may know that you overthink, avoid conflict, take too much responsibility for other people, or hold yourself to standards you would never expect of anyone else. You may even have a good sense of where some of those patterns came from.
And yet, knowing that doesn’t necessarily stop you from replaying the conversation, doubting the decision, agreeing when you wanted to say no, or slipping back into a familiar role with a partner, parent, friend, or coworker.
Therapy can give us room to understand not only what you do, but what keeps the pattern compelling—and what might allow something different to happen.
Understanding a pattern and being able to respond differently are not always the same thing.
What we might work on
What brings you to therapy may seem like several separate problems. Often, there are connections between how you experience yourself, relationships, work, uncertainty, and the expectations you carry.
Anxiety, overthinking & self-trust
You may spend a lot of time anticipating problems, replaying conversations, second-guessing decisions, or trying to determine whether you handled something the “right” way. Even when things are going reasonably well, it can be difficult to stop scanning for what might go wrong.
We may work on understanding what drives the worry, perfectionism, self-criticism, or need for certainty—and on building greater trust in your own judgment without needing every decision or interaction to feel completely resolved.
Relationships, boundaries & family
Relationships can bring up questions about how much to give, when to speak up, what you are responsible for, and whether your needs are reasonable. You may find yourself avoiding conflict, overexplaining, feeling guilty when you set limits, or taking responsibility for keeping things steady.
Therapy can help you look at recurring patterns in romantic relationships, friendships, and family relationships, including changing dynamics with parents as you move further into adulthood. We can work toward relationships that leave more room for honesty, reciprocity, and a clearer sense of where you end and someone else begins.
Work, identity & direction
Work and major life decisions can become especially difficult when they are tied to questions about competence, security, identity, or what you “should” be doing by now. You may feel burned out, underused, uncertain about your next step, or caught between wanting change and being afraid of making the wrong move.
We can explore the pressure, assumptions, and values underneath those decisions so that you have more room to consider what actually fits—not simply what feels safest, most impressive, or most expected.
Earlier experiences & recurring patterns
Sometimes a present-day reaction makes more sense when we understand what earlier relationships and experiences taught you to expect. You may notice familiar roles, fears, beliefs, or ways of protecting yourself showing up across very different parts of your life.
Looking backward does not mean explaining everything through childhood. It can help us understand why certain situations still feel especially charged, why particular patterns are hard to interrupt, and what may need to be processed or reconsidered for something different to become possible.
Therapy that makes room for context
We may also make room for the larger context you're living in—including cultural expectations, discrimination, political or social stress, financial pressure, or uncertainty about the future—rather than treating every source of distress as something happening solely within you.
My practice is LGBTQ+ affirming. Sexual and gender diversity are understood as ordinary parts of human experience—not as problems to explain, resolve, or work around. When LGBTQ+ identity is relevant to what brings you to therapy, we may attend to the experiences surrounding it, including family relationships, disclosure, lack of acceptance, discrimination, and other social conditions.
FAQs
What should I know as a total newbie to therapy?
It’s totally normal and expected to feel nervous and uncertain about starting therapy for the first time. After all, it’s a new and vulnerable experience. Our brains are wired to be wary of such things.
Initial contact with potential therapist: You should provide basic information, including name, preferred mode of contact (phone call, text, email), and some good times to reach you if phone is your preferred mode of contact.
Consultation call:
lt’s helpful to first review logistics, including private pay/insurance coverage, schedule compatibility, and in-person vs. virtual preferences.
If you and the therapist match up on the above details, it would be a good time to share a bit about what brings you to therapy at this time. This is a chance for you to get a feel for your level of comfort and the therapist’s vibe.
This is a great time for you to ask any questions you may have, whether about practical or therapeutic matters.
There will be a couple of forms for you to complete. These vary by therapist.
When you’re first starting therapy, it’s ideal to meet weekly for a few months. This will allow you and your therapist to get to know each other more quickly and build some momentum in attending to your goals and, hopefully, getting some relief from the stress that has brought you to therapy.
Therapists welcome feedback.
If you’re feeling like it’s not the right fit, it’s okay to let your therapist know. In our culture of ghosting, this may feel uncomfortable, but therapists are trained to handle these kinds of conversations. This also gives the therapist an opportunity to offer you referrals to other therapists who may suit your needs better.
If you ever feel like you aren’t getting what you want out of therapy, let your therapist know. They can explore that with you and may be able to offer a different approach or structure.
What can I expect at my first session?
The first couple of sessions give us an opportunity to get to know one another. We will discuss what has brought you into therapy and other aspects of your life to give me a fuller picture of your experiences. You can share as much or as little as you’re comfortable with. Trust takes time.
During our first couple of sessions, you’ll also be getting a sense of what it’s like to work with me as your therapist. My hope is that you will feel a growing sense of comfort, relief, and hope.
How can I tell if a therapist is the right match for me?
Therapy outcomes are strongly influenced by the relationship and trust you have with your therapist. It’s important that you feel comfortable and understood your counselor.
Ideally, you would feel as though your counselor respects your autonomy, doesn’t judge you or your past, listens attentively, and seems capable of helping you with your reason for coming to counseling. You will likely have a sense of this when you first meet a therapist, but sometimes it does take a couple sessions before you can really tell if it’s a good fit.
Are telehealth sessions right for me?
Telehealth sessions are a great option for those with limited time or transportation challenges. Some people also prefer to be in the comfort of their own homes for therapy. You may choose to do all or some of your sessions through telehealth. Telehealth sessions may not be a good fit for you if you’re experiencing severe mental health symptoms, such as suicidal thoughts.